Organization Active NPI

Capital Children's Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1659817781
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAPITAL CHILDREN'S SURGICAL CENTER, LLC
Practice address
1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Phone
(301) 494-3000
Fax
(301) 494-3333
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW CORE HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Wheeler
Title
Business Manager
Phone
(301) 494-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338

Mailing address

1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Phone (301) 494-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1659817781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "301-494-3000",
            "fax_number": "301-494-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "301-494-3000",
            "fax_number": "301-494-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CHILDREN'S SURGICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW CORE HEALTHCARE",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-494-3000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.